Organization
RENAISSANCE PPON LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY T SKINNER (ADMINISTRATOR)
(865) 329-8833
Entity
Organization
Contact information
Practice address
9051 EXECUTIVE PARK DR, SUITE 100, KNOXVILLE, TN 37923-4606
(865) 329-8833
(865) 381-1928
Mailing address
9051 EXECUTIVE PARK DR, SUITE 100, KNOXVILLE, TN 37923-4606
(865) 329-8833
(865) 381-1928
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
1935
TN
Other
Enumeration date
01/15/2015
Last updated
03/30/2015
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